School of Health Sciences, The University of Newcastle, Callaghan, NSW 2308, Australia.
Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, Australia.
Int J Environ Res Public Health. 2021 Jun 14;18(12):6424. doi: 10.3390/ijerph18126424.
Posture, a potentially modifiable injury risk factor, is considered important in injury screening/prevention in athletes, yet few studies investigate relationships between posture and injury. This prospective cohort study investigated whether static posture is associated with lower limb injury risk in male football players ( = 263). Nine aspects of static standing posture (left and right rearfoot, knee interspace, lateral knee, lumbar lordosis, thoracic kyphosis, scoliosis S and C, forward head) were assessed from photographs during the pre-season using the modified Watson and Mac Donncha scale, which was dichotomised for analysis (deviated or normal). Player characteristics (age, height, mass, body mass index, competition level), match/training exposure, and previous and in-season non-contact lower limb injuries were recorded. Binary logistic regression investigated relationships between posture and injury (previous and in-season). Eighty previous and 24 in-season lower limb injuries were recorded. Previous injury was not associated with any postural variable. In-season injury was associated with previous injury (OR = 3.04, 95% CI 1.20-7.68, = 0.02) and having a normal thoracic curve compared to kyphosis (OR = 0.38, 95% CI 0.15-1.00, = 0.05) but no other postural variables. Static postural deviations observed in male football players in the pre-season are not typically associated with non-contact lower limb injury risk; thus, they are unlikely to add value to pre-season screening programs.
姿势是一个潜在可改变的损伤危险因素，在运动员的损伤筛查/预防中被认为很重要，但很少有研究调查姿势与损伤之间的关系。本前瞻性队列研究调查了男性足球运动员（n=263）的静态姿势是否与下肢损伤风险相关。在赛季前，使用改良的 Watson 和 Mac Donncha 量表，从照片中评估了 9 个静态站立姿势方面（左右后脚、膝关节间隙、外侧膝关节、腰椎前凸、胸椎后凸、脊柱侧凸 S 和 C、头部前倾），并进行了二分分析（偏离或正常）。记录了球员特征（年龄、身高、体重、体重指数、比赛水平）、比赛/训练暴露以及之前和赛季中的非接触性下肢损伤情况。二元逻辑回归分析了姿势与损伤（之前和赛季中）之间的关系。记录了 8 次之前和 24 次赛季中的下肢损伤。之前的损伤与任何姿势变量均无关。在赛季中的损伤与之前的损伤有关（OR=3.04，95%CI 1.20-7.68，p=0.02），与存在正常的胸椎曲线相比，存在后凸（OR=0.38，95%CI 0.15-1.00，p=0.05），但与其他姿势变量无关。在赛季前观察到的男性足球运动员的静态姿势偏差通常与非接触性下肢损伤风险无关；因此，它们不太可能增加赛季前筛查计划的价值。
